Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Keith F Tyler, OD

Individual provider Optometrist · NPI 1922206036

Dr. Keith F Tyler, OD is an Optometry in Minneapolis, Minnesota. Graduated from Southern California College of Optometry in 2007, 19 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Minnesota.

Years since qualifying
19
Trained at
Southern California College of Optometry
Licensed in
IL, MN
In the registry since
2007
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2001 Blaisdell Ave
Minneapolis, MN 55404-2414
Phone: (952) 993-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2105 W 80 1/2 St Ste C, Bloomington, MN 55431-1493 — (952) 881-6114

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3143 (MN)
Optometrist Taxonomy 152W00000X · Licence 9995 (IL)

Record details

NPI number1922206036
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 10, 2007
Last updated in NPPESDecember 1, 2023
Certification dateDecember 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2007 (19 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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